WorksheetsMEDL 201 Chapter 7 Complement System
Total questions: 59
Worksheet time: 31mins
The pathways of the complement system are:
Classical, alternative, and lectin pathways
Intrinsic, extrinsic, and common pathways
Direct, indirect, and adaptive pathways
Primary, secondary, and tertiary pathways
System controls in the context of the complement system are:
mechanisms that regulate the activation and function of the complement system
proteins that directly destroy pathogens without regulation
enzymes that only activate the complement cascade
cells that produce antibodies against complement proteins
Complement receptors are proteins that play which of the following biological roles?
They bind complement proteins and mediate immune responses such as phagocytosis and inflammation.
They synthesize antibodies to fight infections.
They transport oxygen in the blood.
They break down pathogens directly without immune cell involvement.
The biological manifestations of complement activation include:
Opsonization, chemotaxis, cell lysis, and inflammation
DNA replication and repair
Hormone secretion and regulation
Neurotransmitter release and synaptic transmission
Complement therapeutics are:
drugs that target the complement system to treat diseases
vitamins that enhance immune function
antibiotics used to kill bacteria
supplements for improving digestion
Complement abnormalities are detected in the laboratory by which of the following methods?
Measurement of complement levels and functional assays
Urine analysis
Electrocardiogram (ECG)
Liver function tests
Complement is a series of more than ___ soluble and cell-bound proteins that interact to enhance host defense mechanisms against foreign cells.
50
10
20
5
Where are most plasma complement proteins synthesized?
In the liver
In the spleen
In the bone marrow
In the pancreas
Which of the following is NOT an exception to the synthesis of plasma complement proteins in the liver?
C1 components (produced by intestinal epithelial cells)
Factor D (made in adipose tissue)
Albumin (produced by the liver)
None of the above
True or False: All plasma complement proteins are synthesized in the liver.
True
False
White blood cells are additional sources of early complement components. Which of the following are early complement components?
C1, C2, C3, C4
C5, C6, C7, C8
Albumin, Globulin, Fibrinogen
Hemoglobin, Myoglobin, Ferritin
Most of these proteins are ______ that are converted to active enzymes in a very precise order.
zymogens
hormones
antibodies
lipids
The main goal of the complement cascade is to cause ______ of foreign cells.
lysis
fusion
division
mutation
Complement components act as ______, which help enhance the clearance of immune complexes.
opsonins
antibodies
hormones
enzymes
Which of the following is a function of complement components?
Decrease vascular permeability
Increase vascular permeability
Inhibit immune response
None of the above
Complement components recruit ______ and neutrophils to the area of antigen concentration.
monocytes
erythrocytes
platelets
basophils
Complement components trigger secretion of immunoregulatory molecules that amplify the immune response.
True
False
Fill in the blank: Specific receptors for complement components are present on ______ cells.
phagocytic
neuronal
muscle
epithelial
Which of the following is NOT one of the three pathways of complement system activation?
Classical pathway
Lectin pathway
Glycolytic pathway
Alternative pathway
More than one pathway of the complement system can be activated __________.
simultaneously
separately
rarely
independently
What is the end product of complement system activation?
Lysis of the invading cell
Production of antibodies
Activation of T cells
Phagocytosis of red blood cells
Which components are involved in the classical pathway?
C1–C4
C3–C5
C5–C7
C7–C9
What happens during the recognition stage of the classical pathway?
C’ binds to antigen-antibody complexes or other substances to initiate the pathway.
Antibodies are produced by plasma cells for the first time.
The membrane attack complex is formed and lyses the cell.
Phagocytes engulf and destroy pathogens directly.
Which of the following is the correct order of stages in the classical pathway?
A) Activation → Recognition → Membrane attack complex
B) Recognition → Activation → Membrane attack complex
C) Membrane attack complex → Activation → Recognition
D) Activation → Membrane attack complex → Recognition
Match the following stages of the classical pathway with their key components:
C1qrs
Recognition Unit
C4b2a3b
Activation Unit
C5b6789
Membrane Attack Unit
According to the diagram, which component is involved in the recognition stage of the classical pathway?
C1qrs
C4b2a
C5b
C3a
The membrane attack complex is formed by the combination of C5b, C6, C7, C8, and C9.
True
False
Antibodies ________ bound to antigen can initiate the classical pathway.
IgG & IgM
IgA & IgD
IgG & IgD
IgM & IgE
C-reactive protein bound to ________ can initiate the classical pathway.
ligand
antibody
enzyme
membrane
Fill in the blank: ________ (a type of bacteria without a cell wall) can initiate the classical pathway.
Mycoplasmas
Streptococcus
Escherichia coli
Bacillus
Certain gram-negative ________ can initiate the classical pathway.
bacteria
viruses
fungi
protozoa
Fill in the blank: Some ________ (single-celled eukaryotic organisms) can initiate the classical pathway.
protozoa
bacteria
viruses
fungi
What is the first complement component to bind in the classical pathway?
C1
C2
C3
C4
Which of the following are the three subunits of C1?
C1a, C1b, C1c
C1q, C1r, C1s
C2a, C2b, C2c
C3a, C3b, C3c
Fill in the blank: At least two of the globular heads of _____ must be bound to antibody to initiate the classical pathway.
C1q
C3b
Factor B
Mannose-binding lectin
Based on the diagram and information provided, what does C1q recognize in the initiation of the classical pathway by antibodies?
The Fc region of two adjacent antibody molecules.
The Fab region of a single antibody molecule.
The antigen directly without antibody involvement.
The variable region of the antibody.
The zymogens Clr and Cls are converted into active enzymes as binding of ____ occurs.
Clq
C3b
Factor B
C5a
When activated, Clr cleaves a thioester bond on ____, which activates it.
Cls
C3b
Factor B
C5
C1s cleaves C4 to create ______ and cleaves C2 to create C2a. (Fill in the blank)
C4b
C4a
C3b
C1q
In the diagram, which complex is labeled as C3 convertase?
C4b2a
C5b9
C1qrs
C3bBb
C3b binds to ______ to form C5 convertase.
C4b2a
C1q
Factor B
Properdin
C5 convertase splits C5 into ______ and C5b.
C5a
C3a
C4a
C2a
C5b attaches to the cell membrane to initiate formation of the ______ (C5b6789).
MAC (Membrane Attack Complex)
RBC (Red Blood Cell)
MHC (Major Histocompatibility Complex)
ABC (ATP-Binding Cassette)
The Lectin Pathway is activated by ________ on microbial cell walls.
carbohydrates
lipids
proteins
nucleic acids
Which of the following is NOT a class of recognition molecule involved in the Lectin Pathway?
Lectins
Ficolins
CL-L1
Immunoglobulins
Mannan-binding lectin (MBL) is classified as ________.
an acute-phase protein
a steroid hormone
a structural protein
a digestive enzyme
Mannan-binding lectin (MBL) binds to ________ or related sugars on microbes to initiate the pathway.
mannose
glucose
fructose
galactose
Which MBL-associated serine proteases does the complex associate with?
MASP-1, MASP-2, MASP-3
C1r, C1s, C1q
Factor B, Factor D, Properdin
Trypsin, Chymotrypsin, Elastase
The complex in the lectin pathway acts like which component?
C1qrs
C3b
Factor B
Properdin
Which MASP cleaves C4 and C2 in the lectin pathway?
MASP-1
MASP-2
MASP-3
C1qrs
The remaining steps of the lectin pathway are identical to which pathway?
The classical pathway
The alternative pathway
The coagulation pathway
The kinin pathway
The Alternative Pathway acts mainly as an ________ loop for classical or lectin pathways.
amplification
inhibition
termination
suppression
Which of the following can activate the Alternative Pathway directly?
Bacterial or fungal cell walls
Viruses
Tumor cells
Some parasites
All of the above
The Alternative Pathway involves which of the following components?
C3, C5 – C9, Factors B, D, and P
Only C3 and C5
Only Factors B and D
None of the above
Step 1 of the Alternative Pathway: What is produced when C3 is hydrolyzed by water, and what does it bind to?
C3a, binds to Factor D
C3b, binds to Factor B
C5a, binds to Factor P
C3b, binds to Factor D
Step 2 of the Alternative Pathway: Which enzyme is formed when Bb combines with C3b?
C3bBb
C3aBb
C5bBb
C3bP
Step 3 of the Alternative Pathway: What stabilizes the enzyme C3bBb, allowing it to continue cleaving additional C3?
Factor D
Properdin
Ba
C5
If a molecule of C3 remains attached to the C3bBbP enzyme, what capability does the convertase now have?
The convertase now has the capability to cleave C5.
The convertase now has the capability to bind antibodies.
The convertase now has the capability to synthesize ATP.
The convertase now has the capability to transport ions across the membrane.
Match the following immune system components:
The most abundant immune cell in the body
Neutrophil
The large size allows this cell to phagocytose clumps of bacteria or even host cells
Macrophage
Primarily involved in fighting parasites
Granulocytes
Overall function is lysing infected host cells
Cytotoxic T cells
Overall function is regulating other immune cells
Helper T cells
